scholarly journals Vernix Caseosa Peritonitis as a Rare Cause of Acute Abdomen After Cesarean Section

Cureus ◽  
2021 ◽  
Author(s):  
Nuaman A Danawar ◽  
Ihab A ALmosalami ◽  
Olfa El Amine Elhadj ◽  
Raheel Anis ◽  
Ahmad Bubshait
2013 ◽  
Vol 6 ◽  
pp. CCRep.S12771 ◽  
Author(s):  
Shameema A. Sadath ◽  
Fathiya I. Abo Diba ◽  
Surendra Nayak ◽  
Iman Al Shamali ◽  
Michael F. Diejomaoh

Introduction Vernix caseosa peritonitis (VCP) is a very unusual complication caused by inflammatory response to amniotic fluid spilled into the maternal peritoneal cavity. Twenty-seven cases have been reported, and all occurred after cesarean section. Case presentation We present a case of VCP following vaginal delivery; this may be the first case reported after vaginal delivery. Mrs. A, 28 years old, gravida 3, para 2, with one previous cesarean section, was admitted at 41 weeks gestation in active labor. Vacuum extraction was performed to deliver a healthy male baby, 4.410 kg, Apgar scores 7, 8. She developed fever, acute abdominal pain, and distension about 3 hours after delivery. A diagnosis of acute abdomen was made. Laparotomy was performed and it revealed neither uterine scar rupture nor other surgical emergencies, but 500 mL of turbid fluid and some cheesy material on the serosal surface of all viscera. Biopsies were taken. She had a course of antibiotics and her recovery was complete. Histology of the peritoneal fluid and tissue biopsy resulted in a diagnosis of VCP. Conclusion Clinical diagnosis of peritonitis due to vernix caseosa should be considered in patients presenting postpartum with an acute abdomen after vaginal delivery.


2018 ◽  
Vol 15 (1) ◽  
Author(s):  
Antonio Macciò ◽  
Paraskevas Kotsonis ◽  
Fabrizio Lavra ◽  
Giacomo Chiappe ◽  
Ester Mura ◽  
...  

2020 ◽  
Vol 224 (06) ◽  
pp. 374-376
Author(s):  
Dino Pavoković ◽  
Anis Cerovac ◽  
Dženita Ljuca ◽  
Dubravko Habek

AbstractWe present an overview of the case of a patient with early hysterorrhaphy dehiscence (uteroperitoneal fistula) with endomyometritis and post-cesarean section peritonitis and puerperal acute abdomen in a 35-year-old puerpera. A exploratory relaparotomy, necrectomy, and resuture of the dehiscent part of the hysterotomy were performed with placement of hemostatic sponges on the same portion of the uterus with good recovery.


1995 ◽  
Vol 103 (6) ◽  
pp. 681-684 ◽  
Author(s):  
Evan George ◽  
Selig Leyser ◽  
Harold L. Zimmer ◽  
David A. Simonowitz ◽  
Richard L. Agress ◽  
...  

Author(s):  
Ihsan Bagli ◽  
Yasemin Dogan ◽  
Selcuk Erkilinc ◽  
Ali Emre Tahaoglu

<p>To report a case who experienced uterine rupture at 38th week of gestation and had a history of manipulator associated uterine rupture. <br />A 25 years old primigravid woman at 38 weeks of gestation was referred to our hospital with the signs of active labor. Heavy lower abdominal cramps and signs of acute abdomen suggested uterine rupture and emergent cesarean section was performed. A 3 cm in size and circular in shape uterin rupture at the fundus that was imitative of enlarged previous manipulator associated rupture was observed. <br />A manipulator associated uterine rupture should be repaired when encountered in reproductive ages in order to prevent a possible uterine perforation during subsequent pregnancy.</p>


2017 ◽  
Vol 6 (2) ◽  
pp. 21-24
Author(s):  
Ferdousi Begum ◽  
Reeva Aireen Busreea ◽  
Akter Jahan ◽  
Md Abul Kalam Azad Khan

Heterotopic pregnancy is defined as the co-existence of intrauterine and extrauterine gestation. The ectopic component in this study was in right fallopian tube which ruptured and remained in peritoneal cavity causing acute abdomen and shock. The intrauterine component was a viable existence with 7 weeks of gestation. The ectopic component was managed with immediate laparotomy and resuscitation. The intrauterine component was allowed to continue normally. The course of intrauterine pregnancy was uneventful with successful outcome i.e. a healthy mother delivered a healthy baby at term. We had to adopt Cesarean section due to non- progress of labor. CBMJ 2017 July: Vol. 06 No. 02 P: 21-24


1958 ◽  
Vol 34 (5) ◽  
pp. 797-808
Author(s):  
H.L. Bockus
Keyword(s):  

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